In pediatric care, health professionals frequently deal with situations involving ethical problems, which in turn require decision-making skills. In order to support the development of such skills during undergraduate medical training, the aim of this study was to analyze strategies suggested by physicians working in teaching and pediatric care to improve the approach to ethical problems arising in daily practice. This was a descriptive qualitative and quantitative study, approved by the Institutional Review Board of the Joana de Gusmão Pediatric Hospital (HIJG) in Florianópolis, Santa Catarina, Brazil, with 72 physicians from two hospitals and 16 from primary care, who answered a semi-structured interview. Content and descriptive analysis was performed with measures of central tendency. The following strategies were selected: systematic approach and reflection on ethics and bioethics, based on daily problems in undergraduate training, residency, and professional practice; a more extensive approach to the theme in medical events; elaboration of clear standards and guidelines on ethical problems; reflection on the theme during teaching-learning and in professional relations; and the establishment of specialized groups to assist in decision-making. The strategies are feasible and should be considered in planning institutional and educational activities in Pediatrics.